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  5. Rhode Island Cardiology Center, LLC

Rhode Island Cardiology Center, LLC

Company Details

Name: Rhode Island Cardiology Center, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Dissolved
Date of Organization in Rhode Island: 16 Apr 2003 (22 years ago)
Date of Dissolution: 06 Oct 2014 (10 years ago)
Date of Status Change: 06 Oct 2014 (10 years ago)
Identification Number: 000131381
ZIP code: 02914
County: Providence County
Principal Address: 950 WARREN AVENUE 2ND FL., EAST PROVIDENCE, RI, 02914, USA
Mailing Address: C/O CARDIOVASCULAR INSTITUTE 950 WARREN AVENUE 2ND FL., EAST PROVIDENCE, RI, 02914, USA
Purpose: MEDICAL SERVICES
Historical names: Southern New England Cardiac Center, LLC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558387829 2006-07-13 2020-08-22 450 VETERANS MEMORIAL PKWY, BUILDING 15, EAST PROVIDENCE, RI, 029145300, US 450 VETERANS MEMORIAL PKWY, BUILDING 15, EAST PROVIDENCE, RI, 029145300, US

Contacts
Phone +1 401-228-2024
Fax 4012282026

Authorized person
Name MR. MICHAEL DELMONICO
Role CHIEF OPERATING OFFICIER
Phone 4012282024

Taxonomy
Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 9003694
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RHODE ISLAND CARDIOLOGY CENTER, LLC 401(K) PROFIT SHARING PLAN 2014 050564687 2015-06-01 RHODE ISLAND CARDIOLOGY CENTER, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-11-01
Business code 621111
Sponsor’s telephone number 4016061035
Plan sponsor’s address 950 WARREN AVENUE, 2ND FL, EAST PROVIDENCE, RI, 02914

Signature of
Role Plan administrator
Date 2015-06-01
Name of individual signing MICHAEL F. GILSON, MD
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND CARDIOLOGY CENTER, LLC 401(K) PROFIT SHARING PLAN 2013 050564687 2014-10-09 RHODE ISLAND CARDIOLOGY CENTER, LLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-11-01
Business code 621111
Sponsor’s telephone number 4016061035
Plan sponsor’s address 950 WARREN AVENUE, 2ND FL, EAST PROVIDENCE, RI, 02914

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing MICHAEL F. GILSON, MD
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND CARDIOLOGY CENTER, LLC 401(K) PROFIT SHARING PLAN 2011 050564687 2012-10-10 RHODE ISLAND CARDIOLOGY CENTER, LLC 139
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-11-01
Business code 621111
Sponsor’s telephone number 4014270585
Plan sponsor’s mailing address 2 DUDLEY STREET, SUITE 260, PROVIDENCE, RI, 02905
Plan sponsor’s address KATHLEEN BENOIT, 60 AMARAL STREET, PROVIDENCE, RI, 02915

Plan administrator’s name and address
Administrator’s EIN 050564687
Plan administrator’s name RHODE ISLAND CARDIOLOGY CENTER, LLC
Plan administrator’s address 2 DUDLEY STREET, SUITE 260, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014270585

Number of participants as of the end of the plan year
Active participants 103
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 22
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 108
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing KATHLEEN C. BENOIT
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND CARDIOLOGY CENTER, LLC 401(K) PROFIT SHARING PLAN 2010 050564687 2011-10-07 RHODE ISLAND CARDIOLOGY CENTER, LLC 133
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-11-01
Business code 621111
Sponsor’s telephone number 4014270585
Plan sponsor’s mailing address 2 DUDLEY STREET, SUITE 260, PROVIDENCE, RI, 02905
Plan sponsor’s address KATHLEEN BENOIT, 60 AMARAL STREET, PROVIDENCE, RI, 02915

Plan administrator’s name and address
Administrator’s EIN 050564687
Plan administrator’s name RHODE ISLAND CARDIOLOGY CENTER, LLC
Plan administrator’s address 2 DUDLEY STREET, SUITE 260, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014270585

Number of participants as of the end of the plan year
Active participants 94
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 42
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 128
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 7

Signature of
Role Plan administrator
Date 2011-10-07
Name of individual signing KATHLEEN C. BENOIT
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND CARDIOLOGY CENTER, LLC 401(K) PROFIT SHARING PLAN 2009 050564687 2010-10-08 RHODE ISLAND CARDIOLOGY CENTER, LLC 133
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-11-01
Business code 621111
Sponsor’s telephone number 4014270585
Plan sponsor’s mailing address 2 DUDLEY STREET, SUITE 260, PROVIDENCE, RI, 02905
Plan sponsor’s address KATHLEEN BENOIT, 60 AMARAL STREET, PROVIDENCE, RI, 02915

Plan administrator’s name and address
Administrator’s EIN 050564687
Plan administrator’s name RHODE ISLAND CARDIOLOGY CENTER, LLC
Plan administrator’s address 2 DUDLEY STREET, SUITE 260, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014270585

Number of participants as of the end of the plan year
Active participants 97
Other retired or separated participants entitled to future benefits 34
Number of participants with account balances as of the end of the plan year 128
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 4

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing KATHLEEN BENOIT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing KATHLEEN BENOIT
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND CARDIOLOGY CENTER, LLC 401(K) PROFIT SHARING PLAN 2009 050564687 2010-10-08 RHODE ISLAND CARDIOLOGY CENTER, LLC 133
Three-digit plan number (PN) 001
Effective date of plan 2004-11-01
Business code 621111
Sponsor’s telephone number 4014270585
Plan sponsor’s mailing address 2 DUDLEY STREET, SUITE 260, PROVIDENCE, RI, 02905
Plan sponsor’s address KATHLEEN BENOIT, 60 AMARAL STREET, PROVIDENCE, RI, 02915

Plan administrator’s name and address
Administrator’s EIN 050564687
Plan administrator’s name RHODE ISLAND CARDIOLOGY CENTER, LLC
Plan administrator’s address 2 DUDLEY STREET, SUITE 260, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014270585

Number of participants as of the end of the plan year
Active participants 97
Other retired or separated participants entitled to future benefits 34
Number of participants with account balances as of the end of the plan year 128
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 4

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing KATHLEEN BENOIT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing KATHLEEN BENOIT
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND CARDIOLOGY CENTER, LLC 401(K) PROFIT SHARING PLAN 2009 050564687 2010-10-08 RHODE ISLAND CARDIOLOGY CENTER, LLC 133
Three-digit plan number (PN) 001
Effective date of plan 2004-11-01
Business code 621111
Sponsor’s telephone number 4014270585
Plan sponsor’s mailing address 2 DUDLEY STREET, SUITE 260, PROVIDENCE, RI, 02905
Plan sponsor’s address KATHLEEN BENOIT, 60 AMARAL STREET, PROVIDENCE, RI, 02915

Plan administrator’s name and address
Administrator’s EIN 050564687
Plan administrator’s name RHODE ISLAND CARDIOLOGY CENTER, LLC
Plan administrator’s address 2 DUDLEY STREET, SUITE 260, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014270585

Number of participants as of the end of the plan year
Active participants 97
Other retired or separated participants entitled to future benefits 34
Number of participants with account balances as of the end of the plan year 128
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 4

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing KATHLEEN BENOIT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing KATHLEEN BENOIT
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND CARDIOLOGY CENTER, LLC 401(K) PROFIT SHARING PLAN 2009 050564687 2010-10-08 RHODE ISLAND CARDIOLOGY CENTER, LLC 133
Three-digit plan number (PN) 001
Effective date of plan 2004-11-01
Business code 621111
Sponsor’s telephone number 4014270585
Plan sponsor’s mailing address 2 DUDLEY STREET, SUITE 260, PROVIDENCE, RI, 02905
Plan sponsor’s address KATHLEEN BENOIT, 60 AMARAL STREET, PROVIDENCE, RI, 02915

Plan administrator’s name and address
Administrator’s EIN 050564687
Plan administrator’s name RHODE ISLAND CARDIOLOGY CENTER, LLC
Plan administrator’s address 2 DUDLEY STREET, SUITE 260, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014270585

Number of participants as of the end of the plan year
Active participants 97
Other retired or separated participants entitled to future benefits 34
Number of participants with account balances as of the end of the plan year 128
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 4

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing KATHLEEN BENOIT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing KATHLEEN BENOIT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JEFFREY F. CHASE-LUBITZ Agent DONOGHUE BARRETT & SINGAL PC 10 WEYBOSSET STREET, PROVIDENCE, RI, 02903, USA

MANAGER

Name Role Address
PHILLIP STOCKWELL MD MANAGER 950 WARREN AVE., 2ND FL. EAST PROVIDENCE, RI 02914 USA
MARILYN J. WEIGNER MD MANAGER 950 WARREN AVE., 2ND FL. EAST PROVIDENCE, RI 02914 USA
JAMES ROBERTSON MD MANAGER 950 WARREN AVE., 2ND FL. EAST PROVIDENCE, RI 02914 USA
MICHAEL F. GILSON MD MANAGER 950 WARREN AVE., 2ND FL. EAST PROVIDENCE, RI 02914 USA
EDWARD KEATING MD MANAGER 950 WARREN AVE., 2ND FL. EAST PROVIDENCE, RI 02914 USA
GEORGE MCKENDALL MD MANAGER 950 WARREN AVE., 2ND FL. EAST PROVIDENCE, RI 02914 USA

Events

Type Date Old Value New Value
Name Change 2004-07-06 Southern New England Cardiac Center, LLC Rhode Island Cardiology Center, LLC

Filings

Number Name File Date
201447222950 Articles of Dissolution 2014-10-06
201326951650 Annual Report 2013-08-19
201296229010 Annual Report 2012-08-20
201183125670 Annual Report 2011-09-16
201070864440 Annual Report 2010-10-20
200955058970 Annual Report 2009-11-17
200837085980 Annual Report 2008-10-24
200701688880 Statement of Change of Registered/Resident Agent Office 2007-10-29
200701697170 Annual Report 2007-09-28

Related by officers

JEFFREY F. CHASE-LUBITZ

Rhode Island HIV Services Commission THE CAPSTONE GROUP, LTD. ProMedica, Inc. Rhode Island Community Network, Inc. RIH ASSOCIATED PEDIATRICIANS, INC. Continuum Behavioral Care, LLC ABS - ATOYAN, BOOTH & SIMPSON, LLC ProMedica IPA, Inc. ProMedica Management, L L C HealthCare Analytics, LLC

MARILYN J. WEIGNER MD

RICC INVESTMENTS, LLC

Related by address

No related companies by address

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State

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